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General NPI Number Information
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NPI Number | 1376248328
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Entity Type | Organization
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Legal Business Name | THE TALK ZONE
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Dates
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Enumeration Date | 03/31/2023
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 2640 ROUTE 70 STE 5102B
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City | MANASQUAN
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State | NJ
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Zip | 08736-2609
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Country | US
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Telephone | 732-614-3364
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Fax |
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Provider Business Mailing Address
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Address Line | 2640 ROUTE 70 STE 5102B
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City | MANASQUAN
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State | NJ
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Zip | 08736-2609
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Country | US
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Telephone | 732-614-3364
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | REBECCA MIZRAHI
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Credential | APN
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Telephone | 732-614-3364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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